Brian J Whelan | Ann Arbor, MI • PECOS Search

Brian J Whelan

Social Worker

Behavioral Health & Social Service Providers

111 N 1st St, Suite 2, Ann Arbor, MI 48104-1397

PECOS Enrollment

Based on the most recent information from CMS, provider Brian J Whelan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1093982779
Provider Type
Individual
Full Name
Whelan, Brian J
Title
Mr.
Credential
MSW, CMT, SEP, DD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/13/2008
Last Updated
5/13/2008

Contact Information

Practice Location

111 N 1st St, Suite 2, Ann Arbor, MI 48104-1397

Unlisted Fax

Mailing Location

111 N 1st St, Suite 2, Ann Arbor, MI 48104-1397

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801085244 Michigan